PRAIRIE DENTAL ASSOCIATES – Dentist, NPI 1174533210

PRAIRIE DENTAL ASSOCIATES is a healthcare provider. based in Great bend, Kansas. specializing in Dentist. The organization holds a License No. 5951 (KS). The NPI Number for PRAIRIE DENTAL ASSOCIATES is 1174533210

Main info

Organization
Name
PRAIRIE DENTAL ASSOCIATES
NPI
1174533210
Phone
(620) 792-1941
Address
1701 WILLIAMS
Authorized Official
DR. DEE JO HOLMAN DENTIST OWNER SEC-TREASURER DDS
Enumeration Date
9 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PRAIRIE DENTAL ASSOCIATES

  • 1701, Williams Street, Great Bend, Barton County, Kansas, 67530, United States

    GREAT BEND, KS 675302542

    Phone: (620) 792-1941

    Fax: (620) 792-2766

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67530)

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Reviews

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Frequently asked questions

Where can patients find PRAIRIE DENTAL ASSOCIATES's NPI?
You can confirm PRAIRIE DENTAL ASSOCIATES with NPI 1174533210; it appears in the national provider directory.
Is PRAIRIE DENTAL ASSOCIATES currently active in the NPI registry?
CMS-published data lists PRAIRIE DENTAL ASSOCIATES as an active registrant.
What field does PRAIRIE DENTAL ASSOCIATES work in?
You can think of PRAIRIE DENTAL ASSOCIATES as practicing within Dentist. Clinical services aligned with this taxonomy classification.
What location shows for PRAIRIE DENTAL ASSOCIATES?
We surface Great Bend, Kansas for PRAIRIE DENTAL ASSOCIATES based on available NPPES addresses.
How can I contact PRAIRIE DENTAL ASSOCIATES?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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